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P 590 42 29 <br /> _ ocTPI _ <br /> ATTN EXLCUTIV E OFFICER <br /> CENTRAL VALLEY REGIONAL <br /> WATER QUALITY CONTROL BORAD <br /> 3443 ROUTIER RD STE A <br /> SACRAMENTO CA 95827-3098 <br /> Postage $ <br /> Certified Fee <br /> ,Special Delivery Fee <br /> Restricted Delivery Fee <br /> Ln <br /> rn Retum Receipt Showing to <br /> r Whom&Date Delivered <br /> a Return Receipt Showing to Whom. <br /> s Date,&Addressee's Address <br /> C TOTAL Postage&Fees <br /> CID <br /> L7 Post ark or Date <br /> LL <br /> �� <br /> rl1 <br /> a <br /> m SE - F _ I Iso wish to receive the <br /> ■C let i 1 and/or 2 for additional services. <br /> m ■Complete items 3,4a,and 4b. following services(for an <br /> ■Print your name and address on the reverse of this form so this extre <br /> I card to you. <br /> 0 <br /> y ■Attach this form to the front of 1h mai r on the ZpaOenumb <br /> s n 1. d e ress <br /> ` permit. a <br /> ■Write-Retum Receipt Request 'on ilpie a 2. ❑ Restricted Delivery N <br /> ■The Retum Receipt wilhshow to w m thea 'cle wa delivered and the date <br /> L delivered. Consult postmaster for fee. u <br /> ° I Number oD <br /> a ATTN EXECUTIVE OFFICER � (� <br /> C <br /> o. CENTRAL VALLEY REGIONAL 4b.Service Type ' <br /> aWATER QUALITY CONTROL BORA17 <br /> ° ❑ RegisteredCertified <br /> 3443 ROUTIER RD STE A ❑ Express Mail Insured c <br /> SACRAMENTO CA 95827-3098 p Return Receipt for Merchandise ❑ COD ° <br /> 7.Date of Delivery <br /> 0 <br /> v2- � �. <br /> IE - 8.Addressee's ress(Only if requested <br /> M. 5.Received By: (Print Nam ) ( Y q c° <br /> �Q �Ef+� and fee AD <br /> LU <br /> ¢ �v� <br /> 0 6.Signature: (Addressee or Agent) <br /> PS Form 3811, December 1994 5tic Return Recel(Jt <br />